Individual provider Active NPI

Magdy Eskander, MD

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1609867415
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD200836 Issued in LA
Practice address
2724 Greenwood Rd
Shreveport, LA 71109-4635
Phone
(318) 212-4750
Fax
(318) 212-8435
NPI assigned
Nov 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD200836 LA
Emergency Medicine Physician 207P00000X E-4255 AR
Family Medicine Physician 207Q00000X MD200836 LA Primary
Family Medicine Physician 207Q00000X E-4255 AR
Occupational Medicine Physician 2083X0100X MD 200836 LA

Addresses

Primary practice location

2724 Greenwood Rd
Shreveport, LA 71109-4635

Mailing address

9627 Gardere Dr
Shreveport, LA 71115-4603
Phone (318) 797-3635

Other identifiers 3

IdentifierTypeStateIssuer
1578801MedicaidLA
156469001MedicaidAR
5N113OtherARBCBS

Other names 1

  • Dr. Magdy Shehata Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD200836LAMDEmergency Medicine Physician
E-4255ARMDFamily Medicine Physician
MD 200836LAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Urgent Care Center - Bossier Family Medicine PastSince Apr 1, 2001 Accepting new patients
Hope-Hempstead Emegency Group LLC Emergency Medicine Past Accepting new patients
De Queen Medical Center Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1609867415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9627 GARDERE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711154603",
            "telephone_number": "318-797-3635",
            "fax_number": "318-797-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711094635",
            "telephone_number": "318-212-4750",
            "fax_number": "318-212-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKANDER",
        "first_name": "MAGDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD200836",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-4255",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD200836",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-4255",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "LA",
            "license": "MD 200836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578801",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156469001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5N113",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDY",
            "last_name": "SHEHATA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.